Ms Janise Lachelle Johnson, is a
Licensed Practical Nurse based in Cahokia, Illinois. Ms Janise Lachelle Johnson is licensed to practice in Illinois (license number 043115886) and her current practice location is
2474 Renois Ln, Cahokia, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 799-2454.
NPI number for Ms Janise Lachelle Johnson is 1932588027 and her current mailing address is 2474 Renois Ln, Cahokia, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932588027.
Provider's Profile
Full Name | Ms Janise Lachelle Johnson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2474 Renois Ln, Cahokia, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932588027
- Provider Enumeration Date: 05/22/2015
- Last Update Date: 05/22/2015
Medical Identifiers
Medical identifiers for Ms Janise Lachelle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932588027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043115886 (Illinois) | Primary |
164W00000X | Licensed Practical Nurse | 2013021137 (Missouri) | Secondary |
183700000X | Pharmacy Technician | 049.211871 (Illinois) | Secondary |
183700000X | Pharmacy Technician | 2013012431 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Janise Lachelle Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Janise Lachelle Johnson, 2474 Renois Ln, Cahokia, IL 62206-3015 Ph: (618) 799-2454 | Ms Janise Lachelle Johnson, 2474 Renois Ln, Cahokia, IL 62206-3015 Ph: (618) 799-2454 |
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